Application for portable water station and chiller box

I would like to borrow a portable water station for my event	Yes
I would like to borrow a portable water station and a chiller box for my event. (the chiller box requires ice and keeps the water cold)	Yes

Name of event:
Date of event
Time of event
Event address
Expected number of attendees

Organisation name
Contact person
Daytime telephone number
Key contact on the day
Mobile number of key contact on the day
Email address

Do you have access to a potable (drinking) water tap to connect the water station into?	Yes No Unsure
Can you secure and cover the hoses connected to the portable water station to eliminate any trip hazards?	Yes No

Date and time of pick up
Date and time of drop off

Are you happy to take photos of attendees using the water stations and upload them on your social media sites tagged #ThanksMackayWater

I have read and agree to council’s Portable Water Station and Chiller box terms and conditions.